Search › Oklahoma › 363LN0005X
Mandie Renner, CCNS
NPI 1760630131 · on the registry since 2008
Practice
- Address
- 1120 S Utica Ave Ste 2123
Tulsa, OK 74104 - Phone
- (918) 579-5402
- Fax
- (918) 579-5404
- Organisation at this address
- Tulsa Diagnostics Pc
Eden Anesthesia, Inc.
Home Therapy Equipment Inc
Hm Services Of Oklahoma Pc
Wound Integrity Oklahoma PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 236
Additional practice sites
- 8607 E. 104th St, Tulsa, OK
Registry record
- Primary taxonomy
- 363LN0005X
363LN0005X
- Also registered as
- 364SN0000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-03-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma